Owasso Pediatric and Adolescent Medicine, P.l.c.

NPI #1982624292 in Owasso, Oklahoma

Provider Information

NPI Number
1982624292
Entity Type
Organization
Organization Name
Owasso Pediatric and Adolescent Medicine, P.l.c.
Primary Specialty
Pediatrics - Adolescent Medicine
Enumeration Date
Jul 20, 2006
Last Updated
Aug 22, 2020

Practice Location

Address
12455 E 100TH ST N
Address 2
SUITE 280
City
Owasso
ZIP Code
74055-4600
Phone
(918) 274-9700

Authorized Official

Name
DR. AARON HENLEY, D.O.
Title
PHYSICIAN
Phone
(918) 274-9700

Specialties & Taxonomy Codes

Specialty
Pediatrics - Adolescent MedicineAdolescent Medicine

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